| NPI | 1447277140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L HAAB Chairman, Board Of Directors 815-758-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 133V00000X Dietitian, Registered | |
| 163WW0000X Registered Nurse Wound Care | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology (Licence: IL 036119759) | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207W00000X Ophthalmology (Licence: IL 036120383) | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016-005282) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-30 |